Terre Haute Nursing And Rehabilitation Center - Terre Haute Nursing Home
General Information
UPDATEFederal Provider Number
155511
Provider Name
TERRE HAUTE NURSING AND REHABILITATION CENTER
Provider Address
830 S 6TH ST
TERRE HAUTE, IN 47807
TERRE HAUTE, IN 47807
Provider Phone Number
(812) 232-7102
Provider SSA County
830
Provider County Name
Vigo
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
38
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1994-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.95000
Reported LPN Staffing Hours per Resident per Day
0.99412
Reported RN Staffing Hours per Resident per Day
1.00147
Reported Licensed Staffing Hours per Resident per Day
1.99559
Reported Total Nurse Staffing Hours per Resident per Day
3.94559
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00588
Expected CNA Staffing Hours per Resident per Day
2.21830
Expected LPN Staffing Hours per Resident per Day
0.64587
Expected RN Staffing Hours per Resident per Day
1.15895
Expected Total Nurse Staffing Hours per Resident per Day
4.02312
Adjusted CNA Staffing Hours per Resident per Day
2.15693
Adjusted LPN Staffing Hours per Resident per Day
1.27753
Adjusted RN Staffing Hours per Resident per Day
0.64567
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95322
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-04-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-04-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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